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1912495953
RAUL LUCIO
PHOENIX, AZ
NPI
1912495953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: AZ SLPA11157)
Enumeration Date
2018-04-25
Last Update Date
2018-04-25
Business Address
RAUL LUCIO
11024 N 28TH DR STE 140
PHOENIX, AZ 85029-4335
Phone number: 602-626-8851
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Mailing Address
RAUL LUCIO
5412 N 104TH AVE
GLENDALE, AZ 85307-4189
Phone number: 623-806-6230
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